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Introduction to the TLC Conference for Parents Ruth Golomb, LCPC The Behavior Therapy Center of Greater Washington, DC What are BFRBs Body Focused Repetitive Behaviors Hair pulling Skin picking Nail biting Biting the inside of the cheek Why Does My Child Do This? Current understanding
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Introduction to the TLC Conference for Parents Ruth Golomb, LCPC The Behavior Therapy Center of Greater Washington, DC
What are BFRBs • Body Focused Repetitive Behaviors • Hair pulling • Skin picking • Nail biting • Biting the inside of the cheek
Why Does My Child Do This? Current understanding Common mistaken beliefs
Who Is Affected By BFRBs? • Age of onset • Baby Trich
What Can I Do To Help My Child? • Coming here • Learning About the Problem • Taking Care of Yourself
Comprehensive Behavioral Model (ComB) • Assessing the Complex Behavior (BFRB) • Modalities of the Behavior • Sensory • Cognitive • Affective • Motor • Place (Environment)
What to do While Attending this Conference • Educate Yourself • Attend Parent Group Presentation • Take Breaks
Sensory (SCAMP) Sensory Distraction- Baths Massage Bath sponge Make-up brush
Sensory (SCAMP) Topical Medications Antibiotic cream Cortisone cream Lacrilube
Sensory (SCAMP) Sensory Substitution Positive Skin Care (Facial masks, toners, creams, astringents) Brush hair Nibble on food Knotted floss run between fingers, sandpaper, nail brush, tactile “toys”
Cognitive (SCAMP) Cognitive Coping Cognitive correction Problem solving strategies
Cognitive (SCAMP) Cognitive Conditioning Psychoeducation
Affective (SCAMP) Relaxation Controlled Breathing Meditation, Yoga Progressive Muscle Relaxation
Affective (SCAMP) Emotive Assertiveness Journal Writing, Talking With Friends Exercise, Volunteer Work Acceptance, Use of Affirmations Daily Gratitude List
Affective (SCAMP) Positive Practice Positive Visualization Covert and Actual Rehearsal
Affective (SCAMP) Medications Serotonin reuptake inhibitors Antidepressants Anxiolytics
Motor (SCAMP) Awareness Training Self Monitoring Finger bandages Rubber Fingertips Scarf, Hat, Ponytail Glasses, Petroleum jelly on eyelashes
Motor (SCAMP) Response Prevention Gloves Band Aids on fingertips Cut fingernails short Rubber fingertips
Motor (SCAMP) Competing Response Training Manicure, file, buff, or brush nails Hold appealing object (smooth rock, worry beads, etc.) or toy Crafts (beads, knitting, etc.) Physical Exercise
Place (SCAMP) Stimulus Control Remove/cover mirrors Remove tweezers Stay out of certain rooms or sit in a different seat Dim the light Place a reminder note in the room (“use your strategies”)